Lecture 13 Flashcards

1
Q

Factors that determine heat rate of heat production

A

BMR, muscle activity (shivering), thyroxin, norepinephrine/epinephrine, increased cellular chemical activity, extra metabolism for digestion, absorption, and food storage

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2
Q

Factors that determine rate of heat loss

A

How rapidly heat can be conducted from body core to skin, how rapidly heat can be transferred from skin to surroundings

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3
Q

Mechanisms to increase body temperature

A

Skin vasoconstriction, piloerection, increase in thermogenesis (shivering, metabolic pathways, thyroxin secretion)

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4
Q

List and describe mechanisms through which heat is lost from the skin

A

Radiation: loss in the form of infrared heat rays, radiated by all objects not at absolute zero; if temperature of body is greater than ambient temperature, more heat is radiated from the body than to the body

Conduction: kinetic energy of the molecules of the skin is transferred to the air if the air is colder than the skin

Convection: removal of heat from the body by convection air currents

Insensible perspiration: occurs at a rate of 600-700 ml/day; causes a continual heat loss at a rate of 16-19 calories/day

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5
Q

Compare concentrations of constituents of sweat when flow of precursor through the duct is low (slight stimulation of glands) versus rapid (strong stimulation)

A

Slight stimulation: Na+ = 142 mEq/L and Cl- = 104 mEq/L; similar to that of plasma w/o proteins

Strong stimulation: Na+/Cl- = 50-60 mEq/L with little water reabsorbed

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6
Q

What effect does aldosterone have on sweat composition?

A

Increases the concentrations of Na+

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7
Q

Describe the anterior pre-optic and pre-optic areas of the hypothalamus and their role in controlling body temperature

A

Anterior pre-optic hypothalamus: contains warm-sensitive (increase firing rate 2-10X in response to a 10 degree C increase in body temperature) and temperature insensitive neurons (temperature set point is function of the activity of the warm-sensitive neurons)

Posterior hypothalamus: cold-sensitive (increase firing rate when temperature falls)

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8
Q

Where is the primary motor area for shivering located? What is its relationship with the anterior hypothalamic preoptic area? Under what conditions is this area activated?

A

Dorsomedial portion of the posterior hypothalamus; inhibited by signals from heat center in anterior hypothalamic preoptic area; excited by cold signals from skin and spinal cord

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9
Q

Define chemical thermogenesis and explain how it is related to epinephrine/norepinephrine and brown fat

A

Increase rate of cellular metabolism due to sympathetic stimulation (epi/norepi); uncouples oxidative phosphorylation; degree of thermogenesis is directly related to amount of brown fat (found in intercapsular space in infants)

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10
Q

Define fever and explain how pyrogens relate to the hypothalamic thermostat set point

A

Body temperature above the usual range of normal; pyrogens increase set-point temperature by increasing production of IL-1, TNF, IL-6, and INF in phagocytic cells

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11
Q

Explain how the following affect fever: IL-1, prostaglandins, and aspirin

A

IL-1: Increases set point temperature

Prostaglandins: Increases set point temperature

Aspirin: Decreases set point temperature by inhibiting cyclooxygenase which results in decrease in production of prostaglandins

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12
Q

What is critical body core temperature?

A

37.1 C (98.8 F)

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13
Q

How does the core body temperature relate to heat loss and heat production?

A

Heat loss is greater at temperatures above this temperature and heat production is greater at temperatures below this temperature

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14
Q

What is the “set-point” of the temperature control mechanism?

A

Level at which sweating begins or shivering begins in order to return to critical core body temperature

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15
Q

What happens in the hypothalamus when the core temperature is below/above set point?

A

Below: posterior hypo activates heat-generating mechanisms

Above: anterior hypo activates heat loss mechanisms

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16
Q

Under what conditions is heat stroke likely to occur?

A

Occurs when body temperature increases to point of tissue damage; normal response (sweating) is impaired and core temperature continues to increase

17
Q

Define heat exhaustion

A

Caused by excessive sweating; blood volume and arterial blood pressure decreases, resulting in fainting

18
Q

Define malignant hyperthermia

A

Caused in susceptible individuals by inhalation anesthetics; characterized by massive increase in oxygen consumption and heat production by skeletal muscle -> rapid rise in body temperature

19
Q

Define hypothermia

A

Ambient temperature is so low that heat-generating mechanisms cannot maintain core temperature near set point